| NPI | 1811276496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSILDA COLLAZO President 787-649-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |